Individual
MR. BUDDY W DEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 S GEORGIA ST, AMARILLO, TX 79109-1904
(806) 468-8616
Mailing address
3606 S VIRGINIA ST, AMARILLO, TX 79109-4742
(806) 355-3590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15559
TX
Other
Enumeration date
03/20/2010
Last updated
03/20/2010
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